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Wisconsin Partnership ProgramANNUAL REPORT ❘ JULY 1, 2017–JUNE 30, 2018

Making Wisconsin a Healthier State

Dean’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Making Wisconsin a Healthier State . . . . . . . . . . . . . . . 4

Research: Finding Answers to Alzheimer’s Disease . . . 6

Education: Preparing Leaders in Public Health and Preventive Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Community Partnerships: Addressing Wisconsin’s Opioid Problem . . . . . . . . . . 10

Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Grants Awarded . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Grants Concluded . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Financial Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Policies and Procedures . . . . . . . . . . . . . . . . . . . . . . 31

Wisconsin Partnership Program Leadership . . . . . . . . 32

Table of Contents

It is a pleasure to share the 2018 Annual Report of the Wisconsin Partnership Program . This report highlights activities and awards during the academic year of July 1, 2017 through June 30, 2018 .

This report stimulates both reflection on the past as well as a view forward into the upcoming year and beyond . We recently embarked on the journey of developing the Wisconsin Partnership Program 2019-2024 Five-Year Plan . The new Plan will set the course for our future directions and will emphasize our commitment to health equity . The lens through which we understand and view health, and our focus on improving health for all, is vitally important to our vision .

We remain fully committed to research and education programs and partnerships that fuel knowledge, scientific discovery, and innovations in healthcare delivery . At the same time, the Partnership Program recognizes that many underlying factors, such as toxic stress, racism, healthy food environments, safe and stable housing, and community health have enormous impacts on health and well-being . We continue to develop meaningful community partnerships across the state to strengthen our approach to addressing these factors and advancing health equity .

We are grateful to Blue Cross Blue Shield United of Wisconsin for providing the endowment that created the Wisconsin Partnership Program . This legacy gift unites the remarkable resources, talent and expertise that lie within our community partners and the university, as together we work to improve health in Wisconsin . I believe that the work of the Wisconsin Partnership Program—through innovative research, education, healthcare workforce development and meaningful collaborations—will continue to lay the foundations for improved health in our state . I want to thank all of our community partners, the collaborating health systems and the faculty on our campus and throughout the UW System, who have joined us on this vitally important journey .

Sincerely,

Robert N . Golden, MDRobert Turell Professor in Medical LeadershipDean, UW School of Medicine and Public HealthVice Chancellor for Medical AffairsUniversity of Wisconsin-Madison

Wisconsin Partnership Program Annual Report July 1, 2017–June 30, 2018 3

DEAN’S MESSAGE

Making Wisconsin a Healthier StateThe Wisconsin Partnership Program at the University of Wisconsin School of Medicine and Public Health (SMPH) was established in 2004 through an endowment gift from Blue Cross Blue Shield United of Wisconsin’s conversion to a stock insurance corporation . Its broad vision to improve the health of people of Wisconsin, now and for years to come is carried out through investments in research, education and community partnerships . In alignment with the Wisconsin Idea, the Partnership Program reaches beyond the campus to improve health .

Two committees, comprised of faculty and community members, govern the work of the Wisconsin Partnership Program . The Oversight and Advisory Committee (OAC) directs and approves funds for public health initiatives . The Partnership Education and Research Committee (PERC) allocates funds for medical, education and research initiatives aimed at improving population health . Their combined experience, expertise and perspectives greatly inform and enhance the Partnership Program’s processes for awarding grants and evaluating outcomes .

New Community Grant Programs The Wisconsin Partnership Program recognizes that in order to understand and address the evolving health needs of Wisconsin’s diverse populations and communities, it must continue to evaluate and refine its approach to grantmaking .

With this understanding, the Partnership Program launched two new community grant programs in 2017, each taking a unique approach to supporting community-driven work to improve health equity .*

The Community Catalyst Grant Program provides catalyst funding to community-based organizations that are promoting innovative approaches to addressing complex health challenges . Eight organizations were awarded $50,000 each over a period of two years . The new projects address a wide range of topics, including:

• Expanding mental health services for veterans through a smartphone app built to connect vets statewide

• Bringing opioid addiction awareness to schools through a unique documentary that features in-depth interviews with young Wisconsinites fighting to recover their lives and futures from addiction

• Expanding interest among the healthcare workforce to bring person-centered care to correctional settings; a unique partnership between the UW School of Medicine and Public Health, the Department of Corrections and nonprofit organizations led by formerly incarcerated individuals

See pages 13-14 for a complete list of awards and descriptions . The new projects are innovative and ambitious,

DEAN’S MESSAGE

Grants Awarded by Type2004 - June 30, 2018

Basic Science Research Grants $11.8M (6%)

Clinical and Translational Research Grants $60.8M (29%)

Public Health Education and Training Grants $29.3M (14%)

Public Health Community and Research Grants $105.9M (51%)

Grants Awarded2004–June 30, 2018

456 grants$208 Million

Grants AwardedJuly 1, 2017 -

June 30, 201827 grants

$9.2 Million

4 Wisconsin Partnership Program Annual Report July 1, 2017–June 30, 2018

OVERVIEW

and the grantees are committed to achieving greater health equity based on the unique needs of their communities and populations served .

The Community Collaboration Grant Program was designed in response to feedback from community-based nonprofits across the state that asked, “How can our small and growing organizations learn from all that the university has to offer the state?” This grant program gives Partnership Program staff time to develop trust-based relationships with community-driven organizations that are closest to some of the most complex health challenges that the state faces . In addition to funding, the organizations receive training and technical assistance that will equip them to make lasting change in their communities, enduring beyond the grant period . Five awards were made this year . The descriptions can be found on page 14 of this report .

*The Wisconsin Partnership Program defines health equity as the attainment of the highest level of health for all people .1 This requires removing obstacles to health such as poverty, discrimination and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments and healthcare .2

1 From “The Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020: Phase I Report: Recommendations for the Framework and Format of Healthy People 2020,” 2008, by the Department of Health and Human Services, retrieved from www .healthypeople .gov/sites/default/files/PhaseI_0 .pdf .

2 From “What is Health Equity? and What Difference Does a Definition Make?” 2017, by the Robert Wood Johnson Foundation, retrieved from www .rwjf .org/content/dam/farm/reports/issue_briefs/2017/rwjf437343

Healthcare professionals and community partners help launch a new class to address healthcare in Wisconsin’s prison population. Pictured (left to right): Joan Addington-White, MD, SMPH Department of Medicine, Melissa Ludin, Ex-Incarcerated People Organizing, Nancy Bowens, NP, Oshkosh Correctional Institution, Paul Bekx, MD, Medical Director for the Bureau of Health Services, Department of Corrections, Johnnie Phiffer, Community Advocate and Speaker

Below: The project Black Men’s Wellness Sustainable Initiative is taking an innovative approach to improve the health of African American males in Dane County through programs like Black Men Run, Brown Boys Read.


https://www.healthypeople.gov/sites/default/files/PhaseI_0.pdf

https://www.rwjf.org/content/dam/farm/reports/issue_briefs/2017/rwjf437343

Finding Answers to Alzheimer’s DiseaseResearchers across the country, including those at the University of Wisconsin, are working to understand Alzheimer’s disease, the most common form of dementia, affecting more than 20 million individuals, families and caregivers in the United States . Despite decades of research, the cause of dementia due to Alzheimer’s disease remains unknown, and the burden of the disease continues to grow . According to the Alzheimer’s Institute at the UW School of Medicine and Public Health, as of 2017, 110,000 people in Wisconsin are living with Alzheimer’s and that number is expected to grow to 130,000 by 2025 .

In the project Gut Microbiome Dynamics in Alzheimer’s Disease, a team of multidisciplinary researchers led by Barbara Bendlin, PhD, professor of medicine at the UW School of Medicine and Public Health, and Federico Rey, PhD, assistant professor of bacteriology, is exploring the role of gut bacteria in the development and treatment of Alzheimer’s disease .

Previous studies conducted at UW-Madison show that people with dementia due to Alzheimer’s disease have differences in their gut microbiome—the community of microbes, including bacteria, which reside in the gut—compared to people without dementia . Now, using a Collaborative Health Sciences Program grant, the researchers will extend this work by following participants in the Wisconsin Registry for Alzheimer’s Prevention (WRAP) study and the Wisconsin Alzheimer’s Disease Research Center (ADRC) over time to study how gut microbiome is related to brain changes . Using an animal model of Alzheimer’s disease under controlled, germ-free conditions, they will determine which microbes are having an impact on the brain, and which mechanisms may underlie brain changes . Finally, in a first-of-its kind study, they will test whether it’s feasible to change the gut microbiome using a fecal transplant in people with dementia due to Alzheimer’s disease . Through these combined approaches, the researchers expect to maximize the expertise of investigators at UW to push the field of Alzheimer’s research .

Research participant Susan Gruber completes a memory exam with Susie Fernandez de Cordova, BS, a research specialist at the Wisconsin Alzheimer’s Disease Research Center (ADRC). Both have experienced caring for loved ones with Alzheimer’s and recognize that studies like those taking place at the Wisconsin ADRC have the potential to help others, including future family generations, who may be at risk for Alzheimer’s disease.


RESEARCH

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RESEARCH HIGHLIGHT

Ultimately, these findings may lead to new treatments for Alzheimer’s disease . Drs . Bendlin and Rey are optimistic about the future . “We are just beginning to understand how gut microbes affect health in terms of disease and behavior,” says Dr . Rey . By determining how a modifiable factor—the composition of the gut microbiome—affects the risk for Alzheimer’s disease, the researchers hope to open up a new area of research and discovery . Adds Dr . Bendlin, “There is a lot of scientific excitement right now, and good things are happening in the field, including right here in Wisconsin . Thanks to a strong partnership between the people of Wisconsin and the WRAP and ADRC programs, researchers in Wisconsin are well-positioned for this work .” Both Dr . Bendlin and Dr . Rey agree that their research is driven by the families who have been impacted by this devastating disease . Says Dr . Bendlin, “We have been studying adult children of parents with Alzheimer’s disease for many years now . We want to find answers for them .”

152 Research Grants

$114 MillionGrants support research to prevent, diagnose, treat and cure disease and prevent injuries. Projects focus on cancer, infectious

disease, diabetes, obesity and more.

Pictured (left to right): Dr. Federico Rey, Dr. Barbara Bendlin and Nick Vogt, graduate student researcher, in the Wisconsin Alzheimer’s Disease Research Center.

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“There is a lot of scientific excitement right now, and good things are happening in the field, including right here in Wisconsin.

– Barbara Bendlin, PhD, Professor of Medicine,UW School of Medicine and Public Health ”

Jasmine Zapata, MD, MPH, a second-year resident in the UW Preventive Medicine Residency (PMR) Program and Clinical Instructor, UW Department of Pediatrics, uses the skills gained in the PMR program to advance her work on addressing the disparities in African American birth outcomes.

Preparing Leaders in Public Health and Preventive MedicineThe Wisconsin Partnership Program recognizes that in order to meet Wisconsin’s evolving healthcare needs, we must ensure that future health professionals are well trained and prepared to care for entire communities as well as individual patients . Our education investments in programs such as the UW School of Medicine and Public Health Preventive Medicine Residency are helping to achieve this goal .

Established in 2014, the Preventive Medicine Residency (PMR) program is a two-year training program for physicians seeking to train across the full spectrum of healthcare and public health . PMR graduates are uniquely trained in population-based approaches to medicine and well-prepared for careers and leadership in areas such as local, state and federal health agencies, as well as health systems and community-based organizations . Preventive Medicine is one of 24 specialties recognized by the American Board of Medical Specialties and, at present, the UW PMR is the only accredited residency program in Wisconsin .

To date, four residents have graduated from the program, which recruits and trains two new residents annually . The program draws from Wisconsin, the nation and globally . The recruits and graduates reflect diverse backgrounds and medical specialties . Upon graduation, some pursue careers exclusively in public health, while others integrate preventive medicine into their clinical practices .

Patrick Remington, MD, MPH, SMPH Associate Dean for Public Health, says, “Funding from the Wisconsin Partnership Program has provided us the opportunity to fully develop and assure continuity of the residency program, and has helped position it to gain additional external support, as well .” He adds, “We have quickly established a national reputation, reflected in our competitive pool of applicants .”

The program’s reputation was strengthened further when it achieved full, 10-year accreditation by the Accreditation Council for Graduate Medical Education and gained additional external funding through a competitive grant from the American Cancer Society .


EDUCATION

EDUCATION HIGHLIGHT

And while success can be measured on the merits of accreditation and funding, the program’s best representation of its work shines through its current residents and graduates .

Jasmine Zapata, MD, MPH, is a current resident and plans to join the faculty of the UW SMPH Department of Pediatrics upon graduation . Dr . Zapata explains how the residency program has shaped her career, “When I went into pediatrics, I knew I wanted to find a way to help people beyond the clinic . The residency has inspired my work around the disparities in African American birth outcomes, and has helped me find innovative methods of health promotion and community engagement to reach people more broadly .” In addition to patient care and teaching, Dr . Zapata is a widely recognized public speaker and author . She is the founder of an international girls’ empowerment movement and has worked extensively with the Foundation for Black Women’s Wellness and many other community organizations .

Robert (Bobby) Redwood, MD, MPH, a graduate of the program, is currently an emergency medicine physician at Divine Savior Hospital in Portage, Wisconsin . He says, “Although I was well trained in emergency medicine, I wanted to reconnect with the public health aspect of medicine as part of my career vision .” He uses his preventive medicine training to focus on antibiotic stewardship . He leads this effort within his emergency department and is involved in several statewide organizations, including the Department of Health Services Antimicrobial Stewardship Committee, Wisconsin Hospital Association and American College of Emergency Physicians . He says, “As an emergency medicine physician, I diagnose and stabilize patients . Through my PMR training, I am able to help prevent emergencies—like serious infections—from happening . It’s a refreshing approach to work on prevention and I couldn’t do it without the tools and knowledge I gained through my preventive medicine residency .”

Read more about our education investments at med.wisc.edu/wisconsin-partnership-program/education/

Right: Robert (Bobby) Redwood, MD, MPH, a graduate of UW Preventive Medicine Residency Program, is an emergency medicine physician at Divine Savior Hospital in Portage, Wisconsin. Beyond the emergency room, he uses his preventive medicine training to focus on antibiotic stewardship and infection prevention.

32 Education and Training Grants

$29 MillionInvestments in education and training

prepare health professionals to meet the unique health needs of Wisconsin in the 21st century.


https://www.med.wisc.edu/wisconsin-partnership-program/education/

https://www.med.wisc.edu/wisconsin-partnership-program/education/

The Southwestern Wisconsin Community Action Program (SWCAP), an anti-poverty agency that works with the five-county region of Grant, Green, Iowa, LaFayette and Richland counties, is using a grant from the Wisconsin Partnership Program to improve opioid treatment and recovery in rural Wisconsin.

Addressing Wisconsin’s Opioid ProblemOpioid addiction is a complex problem that is affecting every community in Wisconsin – touching people of all backgrounds . Addressing the problem requires a multifaceted approach that focuses on education and prevention as well as treatment and recovery .

Two community grants supported by the Wisconsin Partnership Program are addressing the opioid challenge head on—one, through a statewide school program aimed at education and prevention; the second, through an innovative project focusing on treatment and recovery in rural Wisconsin .

In 2017, the WisconsinEye Public Affairs Network was awarded a $50,000 Community Catalyst Grant to support its film Straight Forward: The Truth about Addiction . The film is a peer-to-peer documentary that discusses addiction through the lives of several young Wisconsinites in recovery, fighting to reclaim their futures . Funding from the Wisconsin Partnership Program supports the curriculum, lesson plans and statewide outreach efforts . The project’s goal is to create

awareness about addiction and empower young people and their families with information and inspiration to live sober and successful lives .

Jon Henkes, WisconsinEye President, says, “Currently, there is not a message of prevention and education specifically targeted at this peer-to-peer level, and we hope to close that information gap .” To date, more than 5,000 students, teachers and parents across Wisconsin have viewed the film . More school viewings, and public meetings, are scheduled throughout the state .

The project’s goal is ambitious—to show the film in every middle and high school in Wisconsin by the end of the 2019 academic year . Says Henkes, “We can already see our message is having a powerful impact . Besides gaining understanding, kids are now showing the courage to have conversations about their use or risk for use, and we believe that’s a step in the right direction .”

Watch the film: wiseye .org/Straight-Forward


COMMUNITY PARTNERSHIP

http://www.wiseye.org/Straight-Forward

272 Community Partnership Grants

$65 MillionCommunity grant programs and community academic partnerships address critical public health issues including maternal, infant and

child health, health equity, drug and

alcohol use, smoking, obesity and more.

COMMUNITY HIGHLIGHT

The Southwestern Wisconsin Community Action Program (SWCAP), an anti-poverty agency that works with the five-county region of Grant, Green, Iowa, LaFayette and Richland counties, received a five-year $1 million Community Impact Grant to create the Southwestern Recovery Pathways program . The program will pilot a model of community-based opioid use treatment and recovery . The project’s goal is to build a sustainable and replicable model of coordinated access to a range of medical, physical, emotional, social and economic wraparound services for people in recovery . At the center of the program, sober-living housing will aid recovery by providing an environment removed from negative influences and triggers, and will consist of monitoring, support and counseling . SWCAP will pilot the model in Richland and Iowa counties .

Says Walter Orzechowski, SWCAP Executive Director, “Funding from the Partnership Program allows us to focus specifically on addiction issues . Now we are able to combine the resources and services of SWCAP to meet the specific needs of people struggling with addiction and recovery—with the essential added component of sober-living housing .” This is especially important in rural communities where challenges and pressures are high and resources are low . In addition, support from the Partnership Program has helped SWCAP position itself as a leader in addressing opioid addiction . The team recently received a $250,000 grant from the Wisconsin Department of Health Services to advance its work . “We recognize that this epidemic has underlying social and economic challenges that can’t be fixed strictly through medical and clinical treatment . We hope our approach offers one of many solutions to reducing the toll of addiction on our state .”


In addition to these community grants, the Wisconsin Partnership Program supports opioid addiction research. The project Screening in Trauma for Opioid Misuse Prevention (STOMP) is developing a screening tool to predict risk for opioid misuse and related complications after traumatic injury, when people are at greater risk for misusing opioids. Researchers will pilot the implementation of the tool at University Hospital in Madison and four Wisconsin trauma centers.

Read the story at med.wisc.edu/stomp.

https://www.med.wisc.edu/wisconsin-partnership-program/meet-our-partners/screening-in-trauma-for-opioid-misuse-prevention/

Impact and LearningThe Wisconsin Partnership Program’s unique placement within the UW School of Medicine and Pubic Health ensures a culture that strongly values evidence to support evaluation and that provides significant university resources, talent and expertise that enhance outcomes and impact . Evaluation is woven throughout the grant process, culminating in grant outcome and evaluation reports that provide a valuable measurement of achievement and goals .

The Wisconsin Partnership Program evaluates its impact by measuring outcomes of its funding . Since 2004, the Wisconsin Partnership Program has determined our success by outcomes such as:

Grantees financially sustaining projects, thereby extending the impact of their grants

Grantees have leveraged more than $600 million from funders and organizations outside of the UW system

Publication of grant results to create knowledge and disseminate learning

Partnership-supported individuals have produced more

than 3,600 peer-reviewed publications

Successfully building capacity of health professionals

UW SMPH medical school graduates, who just

completed their first year of residency, increasingly rated the quality of their population/public health training as outstanding or excellent, rising from

33 .3% in 2010 to 72 .9% in 2017 .

Generating and disseminating health data to inform solutions to Wisconsin’s toughest challenges

The 2018 Wisconsin Health Atlas provides ZIP code

searchable obesity rate data partnered with actionable steps and connections to catalyze local change

Each year, the Wisconsin Partnership Program reviews outcomes from all concluded grants . The reviews help inform and improve further grantmaking and encourage dissemination and other forms of sustainability . Reports for concluded grants are published each year in an outcomes report, a supplemental publication to the annual report .

The 2018 Outcomes Report is available online at med .wisc .edu/partnership-publications

Looking AheadThe Wisconsin Partnership Program’s evaluation strategy continues to evolve . As the program completes its five-year planning process, it is using evidence and community experience to identify goals and strategies and is exploring corresponding measurements and indicators . These measurable outcomes will allow the Partnership Program to assess progress toward improving health . The new evaluation plan will help the Wisconsin Partnership Program further understand impact and continuously refine its funding process to address new evidence and information .


EVALUATION

https://www.med.wisc.edu/partnership-publications/


Grants Awarded July 1, 2017 – June 30, 2018

The Wisconsin Partnership Program awarded 27 grants for $9 .23 million for the period July 1, 2017–June 30, 2018 .

Obesity Prevention InitiativeMarathon County Health Department Amount: $266,359;Menominee Indian Tribe of Wisconsin Amount: $360,000;WISDOM, Inc. Amount: $421,768;Academic Partner: Amy Hillgendorf, PhD, Assistant Scientist, School of Human Ecology

These community organizations are addressing health and obesity prevention in unique and community-specific ways . Marathon County is implementing evidence-based approaches to improve the built environment; Menominee Wellness Initiative is enhancing expanding, and refining tribal food systems through locally produced foods; and WISDOM is working in Marathon and three tribal communities (Menominee, Oneida, and Stockbridge Munsee) to support local organizing efforts to promote health equity .

Community Grant Programs The Oversight and Advisory Committee made the following 17 awards through its community grant programs .

Community Catalyst GrantsThe Community Catalyst Grants provide up to $50,000 over two years . The grant program supports community-driven projects with innovative ideas to improve health equity in Wisconsin . There were eight awards in 2017 .

Community Health Workers: Working to Increase Knowledge of Mental Health and Nutrition for Postpartum Latina Moms During Home VisitsCentro Hispano of Dane County

This project will develop a community-based wellness educational program to train Community Health Workers (CHWs) to reduce health disparities affecting Latina postpartum women through a home visiting program . The CHWs will also be trained in the skills needed to achieve sustainable employment beyond the grant program .

Dryhootch Digital Forward Operating Base (DigitalFOB) Great Lakes Dryhootch

This project will create a smartphone application to address the increasing demand from veterans for non-clinical, peer-based mental health services . DigitalFOB will offer a secure, confidential space in which veterans and family members can connect virtually with other veterans and family members .

Increasing Access to Quality Healthcare in Correctional Settings by Expanding Workforce CapacityNehemiah Community Development Corporation

This project will assemble a cross-UW campus multidisciplinary class for medical, nursing, pharmacy and physician assistant students on correctional healthcare that will provide both an overview of the complicated criminal justice system and match future graduates to mentors delivering healthcare to people in prison .

Getting Bike Equity Right: A River Rider Bike Share InitiativeWood County Health Department

This project will ensure that the health needs of the county’s residents are reflected in the River Riders Bike Share Program through increased accessibility, improved infrastructure and community engagement . The project will add bikes that are accessible for people with disabilities and more supportive for the elderly and large-bodied individuals . The project will improve the bike share program’s infrastructure through more signage, painted lanes and covered locations that can house bikes for year-round use .

GRANTS AWARDED

Parent Leadership as a Catalyst for Health EquitySupporting Families Together Association

This project will develop a parent leadership cohort to address Adverse Childhood Experiences (ACEs), the health inequities associated with childhood abuse and neglect and how they influence health and well-being later in life . Four teams statewide will form a cohort for shared and peer learning in order to increase parent knowledge of ACEs, increase leadership skills and launch community-based projects to prevent ACEs .

Straight Forward: The Truth About Addiction WisconsinEye Public Affairs Network

This grant supports the creation and statewide distribution of a curriculum for the film “Straight Forward: The Truth About Addiction .” The documentary features five young Wisconsinites of diverse backgrounds who share their stories of opioid and heroin addiction and recovery . Through the project, Wisconsin middle and high schools will show the film and use the accompanying curriculum . The project’s ultimate goal is to create awareness about Wisconsin’s addiction crisis and empower young people and their families with information and inspiration to live sober and successful lives .

Working Together to Eliminate Health Inequities and DisparitiesHealth Connect Corp.

This project will complete the development of the online resource of free and subsidized healthcare and social services . The resource is designed to support the area’s most vulnerable and marginalized residents and connect them with the care and services they need by identifying nearby organizations that are able to provide care and services in real time . The project will initially serve Dane, Rock and Sauk Counties .

Youth DecarcerationThe Milwaukee Inner-City Congregations Allied for Hope (MICAH)Leaders Igniting Transformation (LIT)

This project aims to improve opportunities for Milwaukee youth at risk for expulsion and incarceration . The ultimate goal is to decrease racial disparities in school suspension and incarceration, and help reform inequities in disciplinary systems by addressing root causes of trauma and social determinants that lead to poor health .

Community Collaboration GrantsCommunity Collaboration Grants provide funding and training to strengthen community organizations and their ability to address health inequities . The following grantees received awards of $300,000 over four years, as well as training and technical assistance .

Common Wealth Development A nonprofit community development corporation working to support and preserve the vitality of neighborhoods in the Madison Metropolitan area through an approach centered on racial equity and community-level health improvement

Family Health La Clinica and the Central Wisconsin Health Partnership

Organizations working together to improve health outcomes in the six-county region of Adams, Juneau, Green Lake, Marquette, Waupaca and Waushara counties

Foundation for Black Women’s Wellness

A nonprofit organization committed to eliminating health disparities that impact the lives of Black women and girls

Milwaukee Inner-City Congregations Allied for Hope (MICAH)

A multiracial interfaith organization committed to addressing social justice issues that impact the health and well-being of communities, including Milwaukee, Chippewa Valley and Fox Cities


Rebalanced-Life Wellness Association

A community organization committed to reducing health disparities that adversely affect African American men and boys residing in Dane County

Community Impact GrantsCommunity Impact Grants provide up to $1 million over five years to support large-scale, evidence-based, community-academic partnerships aimed at achieving sustainable policy, systems and environmental changes that will improve health, health equity and well-being in Wisconsin .

The following four awards were made in December 2017:

Connecting Campuses to Improve Health EquityMarshfield Clinic, Family Health Center of MarshfieldAcademic Partner: Ruth Cronje, PhD, UW-Eau Claire

This project aims to expand care to address the underlying factors that influence health . Students and community volunteers from Eau Claire, Marshfield, Stevens Point and Wausau will be trained to connect clinic patients who have unmet social needs with community services, such as food, energy, housing and transportation . The project’s ultimate goal is to develop innovative ways for clinics and campuses to work within communities to improve health equity .

Creating Conditions to Improve Housing for Wisconsin FamiliesCommunity Advocates’ Public Policy Institute of MilwaukeeAcademic Partners: Marah A. Curtis, MSW, PhD, UW School of Social Work: Geoffrey Swain, MD, MPH, UW School of Medicine and Public Helath

This project will inform housing policies related to health, quality, stability or affordability to alleviate Wisconsin’s housing crisis and its effect on public health .

Southwestern Wisconsin Recovery PathwaysSouthwestern Wisconsin Community Action Program (SWCAP)Academic Partner: Elizabeth Feder, PhD, UW School of Medicine and Public Health: Robin Mokowitz-Lecoanet, JD, UW School of Medicine and Public Health

This project will create the Southwestern Wisconsin Recovery Pathways program to pilot a model of coordinated access to medical, physical, emotional, social and economic wraparound services for people in recovery from opioid addiction, ultimately to improve their chances of sustained recovery . The program, which also includes sober-living housing, will pilot this model with the goal of establishing a sustainable and replicable model of rural community-based opioid treatment and recovery .

First Breath for FamiliesWisconsin Women’s Health FoundationAcademic Partners: Bruce Christiansen, PhD, UW Center for Tobacco Research and Intervention: Michael Fiore, MD, MPH, UW Center for Tobacco Research and Intervention

Through this project, the Wisconsin Women’s Health Foundation will expand its efforts to bring tobacco cessation services to high-risk individuals, families and communities in order to reduce inequities and improve health for women, infants and families in Wisconsin .


Research and Education Grant ProgramsThe Wisconsin Partnership Program’s Partnership Education and Research Committee (PERC) addresses issues of health and healthcare across basic, clinical, translational and applied public health research as well as in education and training . In 2017, PERC made seven awards .

Collaborative Health Sciences ProgramThe Collaborative Health Sciences Program (CHSP) recognizes that opportunities for success are greater through collaboration . The CHSP grants provide $600,000 over three years to support established UW School of Medicine and Public Health investigators’ efforts to initiate new programs of collaborative, interdisciplinary research and education aimed at addressing public health issues that have not yielded to traditional approaches .

PERC made the following Collaborative Health Sciences Awards in October 2017:

A Cluster Randomized Trial to Assess the Impact of Facilitated Implementation on Antibiotic Stewardship in Wisconsin Nursing HomesPrincipal Investigator: Christopher Crnich, MD, PhD, Department of Medicine

This project will explore how to improve the adoption and implementation of a urinary tract infection management improvement toolkit that has been developed by academic and community stakeholders for use in Wisconsin nursing homes . Ultimately, the team seeks to identify the best strategies to expand use of the toolkit, which should lower rates of inappropriate antibiotic use and therefore reduce antibiotic resistance in nursing homes .

Gut Microbiome Dynamics in Alzheimer’s DiseasePrincipal Investigator(s): Barbara Bendlin, PhD, Department of Medicine: Federico Rey, PhD, Department of Bacteriology

This project will explore the role of gut bacteria in the development and treatment of Alzheimer’s disease . Previous studies conducted at UW-Madison show that people with dementia due to Alzheimer’s disease have differences in their gut microbiome—the community of germs or bacteria that reside in the gut—compared to people without dementia . Now, the researchers will extend this work by following people longitudinally, as well as testing the feasibility of an intervention targeting gut microbiome . Ultimately, the information gained during the study could lead to new treatments for Alzheimer’s disease .

Integrated Metabolomics, Microbial Genomics and Immune Profiling in Early Infancy to Identify Biomarkers for Allergic Disease PreventionPrincipal Investigator: Christine Seroogy, MD, Department of Pediatrics

This award expands the Wisconsin Infant Study Cohort—the only farm-based birth cohort study in the United States—to include Amish infants in order to identify farm-related microbes and other environment factors that influence immune development . This study will help determine the interaction between environment, immune function and the prevention of allergic diseases, and may provide a model for early detection and prevention of allergic diseases .


New Investigator ProgramThe New Investigator Program is a funding program that, in alignment with other funding and support mechanisms, contributes to the career development of junior faculty in the UW School of Medicine and Public Health . Support from the Wisconsin Partnership Program provides opportunities for early-career faculty to initiate new, innovative educational or research pilot projects that, if successful, can lead to more substantial support from federal and other granting agencies . The awards are typically $100,000 over two years .

The following awards were made in December 2017:

Autologous Regeneration in Burn Injured PatientsPrincipal Investigator: Angela Gibson, MD, PhD, Department of Surgery

In response to the need to develop new methods to treat serious burns, this project aims to reduce the pain and suffering of burn patients by understanding how wound healing can be accomplished without grafting healthy skin . The proposed work will yield insights into wound healing processes that will help people who suffer burn injuries in Wisconsin and beyond .

Mechano-Electrical Feedback in Pathophysiology of Atrial Fibrillation: Novel Strategy for Antiarrhythmic TherapyPrincipal Investigator: Alexey Glukhov, PhD, Department of Medicine

Management of atrial fibrillation (AF) currently focuses primarily on preventing complications such as risk for heart failure and stroke, rather than curing the disease . This project will study the mechanisms responsible for AF associated with high blood pressure . Greater understanding of these mechanisms is expected to lead to the development of new therapies and ultimately reduce treatment costs and decrease the number of patients affected by AF .

The Role of Nesprin 3 in Mammalian Neural Stem Cell AgingPrincipal Investigator: Darcie Moore, PhD, Department of Neuroscience

This project will focus on understanding and improving the decline in stem cell function that occurs with age . In doing so, the project will identify new targets for improving stem cell function and reducing age-dependent diseases . The far-reaching goal of this project is to improve health during aging, ultimately leading to better cognitive function and independence for seniors and decreasing the medical costs and burdens of age-related diseases .

Partnership Education and Research Committee (PERC) Opportunity Grant PERC Opportunity Grants provide pilot funds of up to $150,000 over two years to jump-start innovative projects that have potential for transformative impact on health .

Improving Access to High-Quality Surgical Care in Wisconsin CommunitiesPrincipal Investigator: Caprice Greenberg, MD, MPH, Department of Surgery

The project supports the establishment of the Surgical Collaborative of Wisconsin and quality improvement projects in breast and colorectal cancer care across the state .


UW Institute for Clinical and Translational Research GrantsThe Wisconsin Partnership Program provides funding to the UW Institute for Clinical and Translational Research (ICTR) to support community-academic partnerships aimed at improving health in Wisconsin . Projects focus on clinical, community and patient-centered outcomes, and dissemination and implementation of evidence-based community-driven interventions .

The Wisconsin Partnership Program supported the following awards during the period July 1, 2017–June 30, 2018

Building the Capacity of Schools to Address the Social and Emotional Needs of Latino Students and Their Families: Implementation and Evaluation of the Fortalezas Familiares Program in SchoolsPrincipal Investigator(s): Carmen R. Valdez, PhD, UW-Madison School of EducationAmount: $150,000

This project partners with schools and community mental health clinics to develop, implement and evaluate an implementation package for Fortalezas Familiares (Family Strengths) in schools .

Development of Tailored Approaches for Optimizing Research Engagement Among Disadvantaged Patients with Alzheimer’s Disease and Their Caregivers in Acute Care SettingsPrincipal Investigator(s): Andrea Gilmore Bykovskyi, PhD, RN, UW-Madison School of NursingAmount: $49,990

This project will develop tailored recruitment strategies to facilitate improved research participation among disadvantaged individuals with Alzheimer’s disease and their caregivers . This represents a critical first step towards addressing disparities in research participation among disadvantaged Alzheimer’s patients .

Development of the Patient Advisor Training Strategies (PATS) ToolkitPrincipal Investigator(s): Betty L. Kaiser, PhD, RN, UW-Madison School of NursingAmount: $14,793

Based on the highly successful Community Advisors on Research Design and Strategies (CARDS) developed within the UW School of Nursing, this award is to develop a toolkit to train patient stakeholders to give effective feedback on research processes and materials .

Engaging Stakeholders to Develop a Patient-Centered Approach to Improve Older Adult Patient Ambulation During HospitalizationPrincipal Investigator(s): Barbara J. King, PhD, RN, UW-Madison School of NursingAmount: $100,000

The objective of this application is to collaborate with older adults to build a stronger intervention to improve patient movement during a hospital stay .

Engineering Cancer Survivorship Care Planning To Address Primary Care Information Needs in Order to Improve Health Outcomes for Cancer SurvivorsPrincipal Investigator(s): Amye J. Tevaarwerk, MD, UW School of Medicine and Public HealthAmount: $75,000

This project employs an interdisciplinary team of experts in oncology, cancer survivorship, primary care and engineering to identify the necessary elements to develop a care plan to improve health outcomes for cancer survivors .


Faith and Community in Action: Increasing Knowledge and Management of Depression in African American CommunitiesPrincipal Investigator(s): Earlise C. Ward, PhD, RN, UW-Madison School of NursingAmount: $100,000

This project will develop a faith-based community advisory board to offer input on adapting an existing intervention and future research design to support and address the unique challenges that African American women face when dealing with depression .

Feasibility and Acceptability of a Pilot Culturally Specific Educational-Behavioral Intervention for African Americans With Type 2 DiabetesPrincipal Investigator(s): Olayinka Shiyanbola, PhD, B.Pharm, UW-Madison School of PharmacyAmount: $49,994

This project enlists patient and community stakeholders to design and determine the feasibility and acceptability of an educational-behavioral intervention focused on addressing culturally informed illness and medication beliefs, self-efficacy, and medication adherence among African Americans with Type 2 diabetes .

Instrument Development for a Social Network Analysis (SNA) of Antibiotic Prescribing in Skilled Nursing FacilitiesPrincipal Investigator(s): Christopher J. Crnich, MD, UW School of Medicine and Public HealthAmount: $75,000

By studying the interactions between nursing home staff and primary care providers, the study aims to improve how healthcare professionals work together as a team to deliver the best care possible to older adults .

Testing Novel Methods for Analyzing and Correcting Root Causes of Patient HarmPrincipal Investigator(s): Douglas A. Wiegmann, PhD, UW-Madison College of EngineeringAmount: $150,000

The goal of this project is to test the feasibility of integrating the Human Factors Analysis and Classification System (HFACS) and Human Factors Intervention Matrix (HFIX) methodologies into UW Health’s root cause analysis program . Results will be used to develop an implementation toolkit, which could facilitate the widespread implementation of these new tools and improve patient safety .

UW Emergency Department Research Services ProgramPrincipal Investigator(s): Manish Shah, MD, MPH, UW School of Medicine and Public Health; Amount: $50,000

The overall goal of this proposal is to create the UW Emergency Department Research Services Program to identify and enroll eligible ED patients and visitors into research studies and complete research protocols for those studies .


Concluded GrantsGrants that concluded July 1, 2017 – June 30, 2018 are listed and featured in the 2018 Outcomes Report . View the report at med .wisc .edu/wisconsin-partnership-program/publications-and-reports/ .

The following grants, funded by the Oversight and Advisory Committee, concluded July 1, 2017 – June 30, 2018:

Community Academic Partnership Fund (6)

Advancing Community Investment in Health: Implementation of the Innovations and Wellness Commons

Building the Infrastructure to Make Wisconsin the Healthiest State: Strengthening Community Health Improvement Implementation and Evaluation for Greater Impact

Northwoods LEAN (Linking Education, Activity and Nutrition): Pathways to Health

Reducing Alcohol Abuse Among LGBTQ Youth in Wisconsin

Southeastern Wisconsin Screening, Brief Intervention, and Referral to Treatment (SBIRT) Project

Women of Worth (WOW): Family-Centered Treatment Project

Community Opportunity Grant Program (8)

5210 Across Dane County

Early Childhood Comprehensive Systems (ECCS)

EatPlayGrow: Improving the Health of Cudahy’s Youth

Healthier Together: Pierce and St . Croix Counties Enhancing School Physical Activity

Healthy People Lincoln County: “Problems Can Be Solved in the Garden”

Improving the Health Status for Amish and Mennonites in Western Wisconsin

Providers and Teens Communicating for Health (PATCH) Program - Milwaukee Implementation

School District Implementation of Gender-Inclusive Policies to Improve Outcomes for Transgender Youth

Lifecourse Initiative for Healthy Families

The Young Parenthood Project: A Father Engagement Strategy for Healthy Families


GRANTS CONCLUDED

https://www.med.wisc.edu/wisconsin-partnership-program/publications-and-reports/

The following Education and Research Grants, supported by the Partnership Education and Research Committee, concluded July 1, 2017 – June 30, 2018:

Collaborative Health Sciences Program (5)

Bisphosphonates and Breast Cancer Prevention: Mechanistic and Clinical Analyses

Multiplexed In Vivo Device to Assess Optimal Breast Cancer Therapy

Once Stepping On Ends: Continuing a Group Falls Prevention Program via the Internet

PI3K/PTEN Targeted Therapy for HPV-Associated Cancers

Zooming in on Childhood Asthma: Disease Causality and Personalized Medicine

New Investigator Program (5)

Advancing Tele-ophthalmology for Diabetic Retinopathy in Rural Wisconsin Health Settings

Genetic Variants, Immune Dysregulation and Rheumatoid Arthritis

Implementing Combination Behavioral and Biomedical HIV Prevention Strategies through High Risk Sexual Networks

Novel Targeted Therapies for the Treatment of Subtypes of Colorectal Cancer

Understanding M . Tuberculosis Evolution Within and Between Hosts

PERC Opportunity Grant

Improved Healthcare Delivery to Wisconsin Amish Infants


There were 11 Institute for Clinical and Translational Research Grants supported by the Wisconsin Partnership Program that concluded July 1, 2017 – June 30, 2018:

Academic Effects of Concussion in High School Student Athletes

Addressing Postpartum Depression in Wisconsin Home Visiting Programs: Dissemination/Implementation of the Evidence Based Mother-Infant Therapy Group

Contrast-Enhanced MRI to Diagnose Appendicitis: Translating a UW Protocol to a Community-Based Program with a Different Scanner Platform

Development of a Toolkit To Support Shared Decision Making in Breast Cancer Screening

Disseminating and Implementing a Smoking Cessation Program for Pregnant and Postpartum Women

Engaging Stakeholders in Integration of Preventive Care and Health Promotion in Specialty Clinics

Engaging Stakeholders in Reducing Overtreatment of Papillary Thyroid Microcarcinomas

Improving Balance for Older Adults: Disseminating Tai Chi Fundamentals Through Community Organizations

Mindful Policing: A Holistic Approach to Improving Officer Well-Being and Police Work

Patient Engagement in Care Redesign: Identifying Effective Strategies for Measuring and Scaling the Intervention

UW Emergency Department Research Services Program


Financial OverviewFinancial Highlights• Earnings, net of fees, on endowed funds for the fiscal year

2018 ending June 30, 2018 were $28 .7 million

• Endowment distributions, funds released for program and administrative spending, were $15 .9 million from July 1, 2017 through June 30, 2018

• Wisconsin Partnership Program grant and administrative cash-basis expenditures were $16 .4 million from July 1, 2017 through June 30, 2018

• Total program assets increased $12 .3 million between July 1, 2017 and June 30, 2018

Supplanting PolicyAs outlined in the Decision of the Commissioner of Insurance in the Matter of the Application for Conversion of Blue Cross & Blue Shield United of Wisconsin, the Wisconsin Partnership Program funds may not be used to supplant funds or resources available from other sources . The UW School of Medicine and Public Health (SMPH) has designed a review process for determination of nonsupplanting, which was approved by the Wisconsin United for Health Foundation, Inc .

Based on the nonsupplanting determination made by the Senior Associate Dean for Finance, the Dean of the School of Medicine and Public Health has attested to compliance with the supplanting prohibition in this Annual Report . The UW-Madison Vice Chancellor for Finance and Administration also has attested that UW-Madison and the UW System have complied with the supplanting prohibition .

OAC Review and Assessment of the Allocated Percentage of FundsAs outlined in its founding documents, the Oversight and Advisory Committee (OAC) annually reviews and assesses the allocation percentage for public health initiatives and for education and research initiatives . The OAC took up the matter on July 19, 2017 . It was moved to retain the allocation of 35 percent for public health initiatives and 65 percent for education and research initiatives, and the motion was unanimously passed .

AccountingThe following financial reports consolidate activities of the Wisconsin Foundation and Alumni Association (WFAA) and the SMPH for the fiscal year ending June 30, 2018 . The Wisconsin Partnership Program changed its reporting period to a fiscal year ending June 30th effective June 30, 2017 . The prior year report was for a six month period . This report is for a full fiscal year ending June 30, 2018 . Year-by-year comparative reporting will return in the Fiscal 2019 Annual Report .

Revenues consist of interest income and changes in market valuation of investments, while expenditures consist of administrative and program costs . All expenditures and awards are reported as either public health initiatives (OAC– 35 percent) or Partnership Education and Research Committee initiatives (PERC– 65 percent) . Approved awards have been fully accrued and recorded as Grant Expenditures (Table 2) . The Grants Payable Liability reflects accrued awards less any expenditures (Table 1: Statement of Net Assets)


FINANCIAL OVERVIEW

Table 1: Statement of Net AssetsAs of June 30, 2018

Assets

Current Investments $ 16,661,829

Noncurrent Investments 371,467,594

Total Assets $ 388,129,423

Liabilities and Net Assets

Liabilities

Grants Payable $ 30,142,496

Total Liabilities $ 30,142,496

Net Assets

Temporarily Restricted - Spendable $ 8,812,458

Temporarily Restricted - Endowment 67,346,727

Permanently Restricted - Endowment 281,827,742

Total Net Assets $ 357,986,927

Total Liabilities and Net Assets $ 388,129,423

Table 2: Statement of Revenues, Expenses and Changes in Net Assets For the Fiscal Year Ended June 30, 2018

Revenues

Gifts Received $ -

Interest Income 73,232

Change in Fair Value of Endowed Funds 28,650,974

Total Revenues $ 28,724,206

Expenditures

OAC Initiatives

Administrative Expenditures $ 366,105

Grant Expenditures 6,434,718

PERC Initiatives

Administrative Expenditures 679,909

Grant Expenditures 4,539,729

Total Expenditures $ 12,020,461

Net Increase/(Decrease) in Net Assets $ 16,703,745


Financial NotesCash and InvestmentsThe financial resources that support Wisconsin Partnership Program grants as of June 30, 2018 (Table 1) were generated from funds released by the Wisconsin United for Health Foundation, Inc ., as prescribed in the Grant Agreement, as well as generated from investment earnings . All funds are in custody of and managed by the Wisconsin Foundation and Alumni Association (WFAA) . As needed, funds are transferred to the SMPH to reimburse expenditures .

Current InvestmentsCurrent investments consist of participation in the WFAA Callable Pool . The primary investment objective of the Callable Pool is to preserve the capital and provide liquidity when dollars are called . The Callable Pool is invested in high-quality, short-term fixed income securities . The Wisconsin Partnership Program Callable Pool investments earn a fixed payout rate . On an annual basis, the WFAA Investment Committee will determine the fixed payout rate for the following fiscal year .

Noncurrent InvestmentsNoncurrent investments consist of participation in the WFAA Endowment portfolio . The primary investment objective of the Endowment portfolio is to maximize long-term real returns commensurate with the stated risk tolerance, while providing distributions for current spending needs . The Endowment portfolio’s asset allocation model is primarily equity oriented and includes public equities, equity-like vehicles such as private equity and real estate, as well as fixed income .

The Endowment portfolio’s asset allocation model is designed to seek broad exposure to the global capital markets, mindful of the benefits of diversification, to invest within the stated risk-tolerance level, and to promote a cost-conscious investment model while investing within portfolio guidelines .

The WFAA Investments team has managing fiduciary responsibility and monitors industry trends, explores and evaluates financial opportunities, and works closely with the Investment Committee, whose members have significant experience in the investment field . The committee, guided by established Foundation policy, governs and provides oversight to the investments team .

Change in Investment AllocationThe Wisconsin Partnership Program has historically maintained funds that have been distributed from the Endowment and are available for expenditure in the WFAA Callable Pool, as described in the Current Investments section of this report . As of December 31, 2012, the Wisconsin Partnership Program moved $10 million of funds from the Callable Pool to the Endowment portfolio as described in the Noncurrent Investments section of this report . The purpose of this move was to achieve a higher rate of return, allowing for increased grant levels . The program made a planned second reinvestment of $10 million in March 2013 . These funds remain fully available to the program and are reflected in Net Assets Temporarily Restricted – Spendable . As of June 30, 2018, the balance of these funds is $22 .3 million in the Endowment portfolio . There is an additional $18 .3 million of funds available in the Callable Pool .

Liabilities – Grants PayableGrants payable are recorded as of the date of approval by the Oversight and Advisory Committee or Partnership Education and Research Committee . The liability reflects the total amount of the grant award, less any payments made on or before June 30, 2018 . Any subsequent modifications to grant awards are recorded as adjustments of the grant expenditures in the year the adjustment occurs .

Net AssetsBased upon the Grant Agreement, net assets are divided into the following three components:

Temporarily restricted—Spendable Fund: the portion of net assets relating to funds that have been distributed from the endowment fund, along with related income that is available to the program . These funds are available for the program’s grants and administrative expenditures .

Temporarily Restricted—Endowment Fund: the portion of net assets derived from gains or losses to the permanently restricted funds that have not been distributed, and remain within the Endowment portfolio as of June 30, 2018 .

Permanently Restricted—Endowment Fund: the portion of the gift proceeds initially allocated to permanently endow the Wisconsin Partnership Program . These funds have been invested in the Endowment portfolio of the WFAA, and the principal is not available to be spent for Partnership Program purposes .


Statement Of Revenues, Expenses And Changes In Net AssetsRevenuesRevenues for the fiscal year ending June 30, 2018 (Table 2), consist of two components: (1) interest income, which has been recorded as earned throughout the period; and (2) the change in fair value of endowed funds, which represents the increase or decrease in the fair value of funds invested in the WFAA Endowment Fund .

The change in fair value of endowed funds is shown after fees have been deducted (net of fees) . The WFAA incurs management fees for both external and internal asset managers, and records its revenues net of these fees . In addition, the WFAA assesses an Institutional Advancement Fee of 1 percent of endowed funds, to finance its internal operations (includes WFAA operations and advancement functions) . The name of this fee was changed in 2015 . The fee was previously called the Expense Recapture Fee .

The Institutional Advancement Fees were $3,692,429 for the fiscal year ending June 30, 2018 . Revenues are shown after these fees have been deducted .

Effective January 1, 2012, the WFAA modified its policy regarding the Investment Recapture Fee, now known as the Institutional Advancement Fee . The Foundation voted to decrease the fee from 1 percent to 0 .7 percent on amounts above $250 million per qualified relationship . Partnership Program funds exceed the newly established level, and the annual fee amounts in the preceding paragraph reflect this decrease . The Dean of the School of Medicine and Public Health proposed that the savings from this fee reduction would be fully allocated to the Oversight and Advisory Committee for public health initiatives . This proposal was formally accepted by the OAC . These savings were $357,729 for the fiscal year ending June 30, 2018 .

Endowment fund distributions to the spendable funds are based on the WFAA spending policy, which is applied to the market value of the endowment funds .

ExpensesExpenses for the fiscal year ending June 30, 2018 consist of grant awards as described above, and administrative expenditures . All expenditures fall under one of the two major components identified in the Wisconsin Partnership Program’s 2014–2019 Five-Year Plan: public health initiatives (OAC–35 percent) and partnership education and research initiatives (PERC–65 percent) .

Award amounts reflect the total award amounts made in any year over their complete duration . For example, an award of $100,000 per year with a term of three years will be recorded as a $300,000 award in the year it is made . OAC and PERC awards do not all have the same durations, nor are they on the same renewal timeframes . As such, the total awards in any given year will not necessarily equal the 35/65 ratio of funds between OAC and PERC . Over time, however, awards and actual expenditures will mirror the allocation percentages . Detailed information on OAC award amounts is shown in Tables 4 and 5, while PERC award amounts are in Tables 6 and 7 .

Administrative expenses include costs incurred by the Wisconsin Partnership Program in seeking and reviewing applications, monitoring and evaluating awards, and supporting other key components of compliance and infrastructure to maintain its grantmaking activities . They do not include WFAA expenses . The UW School of Medicine and Public Health also provides in-kind support .

The Wisconsin Partnership Program’s Oversight and Advisory Committee and Partnership Education and Research Committee annually approve the administrative budget . Allocation of these costs within the Statement of Revenues, Expenses and Changes in Net Assets (Table 2) is based on a 35 percent OAC/65 percent PERC split .


Table 3: Administrative ExpensesFor the Fiscal Year Ended June 30, 2018

Salaries $ 652,966

Fringe Benefits 244,347

Supplies 11,197

Travel 15,460

Other Expenditures 122,044

Total $ 1,046,014

OAC (35%) Allocation 366,105

PERC (65%) Allocation 679,909

Total $ 1,046,014

Table 4: OAC Awards–Summary 2004–June 30, 2018Total Awarded Total Expended Grants Payable

Total 2004 OAC Funding $ 8,779,958 $ 8,779,958 $ -

Total 2005 OAC Funding 4,635,692 4,635,692 -



Total 2008 OAC Funding * - - -





Total 2013 OAC Funding 8,629,570 7,925,510 704,060

Total 2014 OAC Funding 6,915,486 5,911,264 1,004,222



Total January 1 through June 30, 2017 OAC Funding 1,014,374 186,523 827,851

Total FY18 OAC Funding 6,929,372 333,733 6,595,639

Total OAC Funding (2004 - June 30, 2018) $ 71,452,076 $ 56,178,462 $ 15,273,614


Table 5: July 1, 2017 to June 30, 2018 OAC AwardsProject Title Type Total Awarded Total Expended Grants Payable

Strategic Grants

OPI Community Organizing Initiative E, S $ 421,768 $ 109,369 $ 312,399

Menominee Wellness Initiative E, S 360,000 21,542 338,458

Community Engagement and Collective Impact: Marathon County

E, S 266,359 62,345 204,014

Community Grants

Youth Decarceration E, S 50,000 19,556 30,444

Straight Forward: The Truth About Addiction E, S 50,000 50,000

Increasing Access to Quality Healthcare in Correctional Settings by Expanding Health Workforce Capacity

E, S 38,530 3,756 34,774

The Dryhootch Digital Forward Operating Base (DigitalFOB)

E, S 50,000 15,000 35,000

Working Together to Eliminate Health Inequities and Disparities

E, S 50,000 20,884 29,116

Parent Leadership as a Catalyst for Health Equity E, S 50,000 417 49,583

Getting Bike Equity Right: A River Rider Bike Share Initiative

E, S 50,000 1,990 48,010

Community Health Workers: Working to Increase Knowledge on Mental Health and Nutrition for Post-Partum Latina Moms During Home Visits

E, S 50,000 7,031 42,969

Rebalanced-Life Wellness Association E, S 300,000 300,000

Milwaukee Inner-City Congregations Allied for Hope (MICAH)

E, S 300,000 300,000

Family Health La Clinica and the Central Wisconsin Health Partnership

E, S 300,000 300,000

Foundation for Black Women’s Wellness E, S 300,000 300,000

Common Wealth Development E, S 293,180 - 293,180

Community Impact Grants

Creating Conditions to Improve Housing Policy For Healthier Families

E, S 1,000,000 19,636 980,364

Connecting Clinics, Campuses, and Communities to Advance Health Equity

E, S 1,000,000 1,000,000

Southwestern Wisconsin Recovery Pathways E, S 999,535 3,221 996,314

First Breath Families: Helping Low-Income Moms Quit Smoking and Babies Grow Up Smoke-Free

E, S 1,000,000 48,986 951,014

Total Oac Funding For The Fiscal Year Ended June 30, 2018

$ 6,929,372 $ 333,733 $ 6,595,639

E=Education, R=Research, S=Service (community-based)


Table 6: PERC Awards–Summary 2004–June 30, 2018Total Awarded Total Expended Grants Payable

Total 2004 PERC Funding $ 7,835,411 $ 7,835,411 -

Total 2005 PERC Funding 13,001,789 13,001,789 -





Total 2010 PERC Funding 759,757 759,757 -




Total 2014 PERC Funding 12,179,890 9,284,202 2,895,688



Total January 1 through June 30, 2017 PERC Funding 2,335,299 656,082 1,679,217

Total FY18 PERC Funding 4,563,102 426,460 4,136,642

Total PERC Funding (2004 - June 30, 2018) $ 131,432,857 $ 116,563,974 $ 14,868,883


Table 7: July 1, 2017 to June 30, 2018 PERC AwardsProject Title Type Total Awarded Total Expended Grants Payable

Strategic Grants

Survey of the Health of Wisconsin (SHOW) supplement

E,R,S $ 1,866,667 $ 231,484 $ 1,635,183

Transforming Medical Education 3 .0 - Moving Medical Education ForWard (TME) supplement for Path of Distinction in Public Health, f .k .a . PRIME

E 398,266 102,221 296,045

Opportunity Grants

Improving Access to High Quality Surgical Care in Wisconsin Communities

R,E 199,886 - 199,886

Collaborative Health Science Program Grants

Integrated Metabolomics, Microbial Genomics and Immune Profiling in Early Infancy to Identify Biomarkers for Allergic Disease Prevention .

R 600,000 21,002 578,998

Gut Microbiome Dynamics in Alzheimer's Disease R 599,871 - 599,871

A Cluster Randomized Trial to Assess the Impact of Facilitated Implementation on Antibiotic Stewardship in Wisconsin Nursing Homes

R 598,611 53,436 545,175

New Investigator Program Grants

Autologous Regeneration in Burn Injured Patients R 100,000 - 100,000

Mechano-Electrical Feedback in Pathophysiology of Atrial Fibrillation: Novel Strategy for Antiarrhythmic Therapy

R 99,801 7,212 92,589

The Role of Nesprin 3 in Mammalian Neural Stem Cell Aging

R 100,000 11,105 88,895

Total Perc Funding For The Fiscal Year Ended June 30, 2018

E, S $ 4,563,102 $ 426,460 $ 4,136,642

E=Education, R=Research, S=Service (community-based)


Policies and ProceduresThe Oversight and Advisory Committee (OAC) and Partnership Education and Research Committee (PERC) follow standard Request for Proposal (RFP) guidelines, requirements, multistep review processes and selection criteria . Throughout the year, the Partnership Program evaluates the progress and outcomes of funded grants using progress and final reports, financial status reports, presentations and site visits .

Training and Technical Assistance To ensure the greatest potential for successful proposals, Wisconsin Partnership Program staff members provide training and technical assistance for grant applicants throughout the year . In addition, staff facilitate in-person and webcast training sessions for applicants .

Review and MonitoringAll grant applications undergo a multistep review by Wisconsin Partnership Program staff members, university faculty and staff, and representatives from state and local agencies and nonprofit organizations . The process includes:

• Technical review verifying eligibility and compliance with proposal requirements

• Expert review consisting of independent assessment and scoring

• Full committee review of top-ranked proposals and interview of applicants, as applicable

In addition, grantees participate in a team orientation and agree to a Memorandum of Understanding that outlines grant requirements including progress reports, financial status reports and a final report .

Open Meetings and Public RecordsAs directed by the Order of the Commissioner of Insurance, the Wisconsin Partnership Program conducts its operations and processes in accordance with the state’s Open Meetings and Public Records Laws . Meetings of the Oversight and Advisory Committee and the Partnership Education and Research Committee and their subcommittees are open to the public . Agendas and minutes are posted at med .wisc .edu/partnership and in designated public areas .

Diversity PolicyThe Wisconsin Partnership Program is subject to and complies with the diversity and equal opportunity policies of the UW System Board of Regents and UW-Madison . Furthermore, the Wisconsin Partnership Program has developed a diversity policy to ensure diversity within the Partnership Program’s goals, objectives and processes .

A commitment to diversity is integral to the Wisconsin Partnership Program’s mission to serve the public health needs of Wisconsin and to reduce health disparities through research, education and community partnerships . The policy provides a broad perspective to help the Wisconsin Partnership Program understand the most effective means to address population health issues and to improve health in Wisconsin .

In addition, both OAC and PERC are committed to applying a health equity lens to their grant programs, grantmaking and strategic planning . The policy is available online at med .wisc .edu/partnership .


POLICIES AND PROCEDURES

https://www.med.wisc.edu/wisconsin-partnership-program/

Wisconsin Partnership Program LeadershipThe Oversight and Advisory Committee (OAC) and the Partnership Education and Research Committee (PERC) serve as the Wisconsin Partnership Program’s governance committees .

Oversight and Advisory CommitteeThe University of Wisconsin (UW) System Board of Regents appoints four representatives from the UW School of Medicine and Public Health (SMPH) and four public health advocates to the nine-member Oversight and Advisory Committee . The Wisconsin Office of the Commissioner of Insurance also appoints one OAC member . Members serve four-year terms and may be re-appointed . One member of the Board of Regents and a representative of the Chancellor also serve as liaisons to the OAC . The primary responsibilities of the OAC are to:

• Direct and approve available funds for public health initiatives and public health education and training

• Provide public representation through the OAC’s four health advocates

• Offer comment and advice on the PERC’s expenditures

Health Advocate AppointeesSue Kunferman, RN, MSN, CPM, Secretary Director/Health Officer, Wood County Health Department Category: Statewide Healthcare

Katherine Marks, BACommunity Outreach, City of KenoshaCategory: Urban Health

Gregory NyczExecutive Director, Family Health Center of Marshfield, Inc . Category: Rural Health

Kenneth Taylor, MPP, Vice ChairExecutive Director, Kids ForwardCategory: Children’s Health

Insurance Commissioner’s AppointeeVacant

SMPH AppointeesCynthia Haq, MDProfessor, Departments of Family Medicine and Community Health and Population Health Sciences; Director, Training in Urban Medicine and Public HealthResigned December 2017

Amy Kind, MD, PhDAssociate Professor, Department of MedicineRepresentative: Public Health FacultyAppointed April 2018

Robert F . Lemanske, MDAssociate Dean for Clinical and Translational ResearchProfessor, Departments of Pediatrics and Medicine

Richard L . Moss, PhDSenior Associate Dean for Basic Research, Biotechnology and Graduate Studies Professor, Department of Cell and Regenerative Biology

Patrick Remington, MD, MPH, Chair Associate Dean for Public HealthProfessor, Department of Population Health Sciences

Partnership Education and Research CommitteeThe Partnership Education and Research Committee (PERC) broadly represents the faculty, staff and leadership at the UW School of Medicine and Public Health (SMPH), and includes representatives from the Oversight and Advisory Committee (OAC) . The PERC allocates and distributes funds designated for education and research initiatives that advance population health . The primary responsibilities of the PERC are to:

• Direct and approve available funds for education and research initiatives

• Maintain a balanced portfolio of investments in population health

• Strengthen collaborations with communities and health leaders statewide


LEADERSHIP

SMPH LeadershipMarc Drezner, MDSenior Associate Dean for Clinical and Translational Research Director; Institute for Clinical and Translational Research; Professor, Department of Medicine

Richard L . Moss, PhD, Chair*Senior Associate Dean for Basic Research, Biotechnology and Graduate Studies; Professor, Department of Cell and Regenerative Biology

Elizabeth Petty, MD*Senior Associate Dean for Academic Affairs; Professor, Department of Pediatrics

Patrick Remington, MD, MPH Associate Dean for Public Health; Professor, Department of Population Health Sciences

Department ChairsPatricia Keely, PhDProfessor and Chair, Department of Cell and Regenerative BiologyDeceased June 2017

Richard L . Page, MDProfessor and Chair, Department of Medicine

Paul Rathouz, PhDProfessor and Chair, Department of Biostatistics and Medical InformaticsFaculty RepresentativeAppointed October 2017 Resigned June 2018

Faculty RepresentativesDavid Allen, MDProfessor, Department of Pediatrics Representative: Clinical Faculty

Tracy Downs, MD*Associate Professor, Department of UrologyAssistant Dean of Multicultural AffairsRepresentative: Clinical Faculty

Corinne Engelman, MSPH, PhDAssociate Professor, Department of Population Health SciencesRepresentative: Public Health Faculty

Amy Kind, MD, PhDAssociate Professor, Department of MedicineRepresentative: Public Health FacultyAppointed August 2017

James Shull, PhD*Professor, Department of OncologyRepresentative: Basic Science Faculty

Oversight and Advisory Committee AppointeesGregory Nycz*Executive Director, Family Health Center of Marshfield, Inc .

Patrick Remington, MD, MPH Associate Dean for Public Health; Professor, Department of Population Health Sciences; OAC Chair

Ex-officioElaine Alarid, PhDProfessor, Department of OncologyAppointed January 2017

Norman Drinkwater, PhD Vice Chancellor for Research and Graduate Education, UW-Madison; Professor, Department of OncologyResigned December 2017

* PERC Executive Committee Member

Wisconsin Partnership Program LiaisonsUW-Madison Office of the Chancellor

Paul M . DeLuca Jr ., PhDProvost Emeritus

UW System Board of Regents

Tracey Klein, JDMember, University of Wisconsin System Board of Regents

In MemoriamPatricia Keely, PhDProfessor and Chair, Department of Cell and Regenerative BiologyJune 24, 2017


Wisconsin Partnership Program StaffEileen M . Smith, Assistant Dean and Director

Andrea Dearlove, Senior Program Officer

Tonya Mathison, Administrative Manager

Anne Pankratz, University Relations Specialist

Courtney Saxler, Program Officer

Nathan Watson, Administrative Assistant

Kate Westaby, Evaluator

Debbie Wu, Financial Specialist


750 Highland Ave., 4230 HSLCMadison, WI 53705

(608) 265-8215(866) 563-9810 (toll-free)

med.wisc.edu/partnership

MS-147853-18

https://www.med.wisc.edu/wisconsin-partnership-program/

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